Claims Representative
2 weeks ago
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work
Most Loved Workplace
Forbes Best-in-State Employer
(Remote) Claims Representative - Auto Liabilty
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
- Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
PRIMARY PURPOSE OF THE ROLE: To analyze low-level first and third party auto liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiating settlement of claims within designated authority.
- Communicating claim activity and processing with the claimant and the client.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS
Education & Licensing: 3+ years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
Licensing / Jurisdiction Knowledge: Active adjusters license preferred.
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
#claimsexaminer #claims
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Taking care of people is at the heart of everything we do. Caring counts
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us. )
-
Workers' Compenstation Claims Representative
2 weeks ago
Detroit, Michigan, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
-
Workers Compensation Claims Associate
2 weeks ago
Detroit, Michigan, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
-
Billing Representative
7 days ago
Detroit, Michigan, United States R1 RCM Full timeR1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals, and physician practices. Headquartered in Salt Lake City, UT, R1 is publicly traded organization with employees throughout the US and international locations. At R1 RCM, we deliver innovative solutions by...
-
Medicare Bad Debt Representative
6 days ago
Detroit, Michigan, United States R1 RCM Full timeAs our Medicare Bad Debt Representative, your meticulous attention to detail will be crucial in accurately and efficiently managing bad debt records. Your responsibilities will primarily involve a thorough examination of patient accounts. This role is fast-paced and demands your ability to multitask effectively while being deeply committed to supporting our...
-
Instructional Developer Analyst
6 days ago
Detroit, Michigan, United States Blue Cross Blue Shield of Michigan Full timeThis role will support the Account Services team. Please note that this role will be a hybrid model including both in-person and remote work. All training will be 100% in-person. Departmental Requirements * Analyze need for training support * Develop and write training materials * Conduct and deliver training sessions * Capture training feedback and make...
-
Manager
1 month ago
Detroit, Michigan, United States Emergent Holdings Full timeSUMMARY Responsible for researching, planning, organizing, directing, implementing, and management of corporate programs and initiatives dedicated to enhancing health care value. Position operates within broad objectives to ensure optimum utilization of manpower and budget. Specialize in research, planning, development, implementation and leadership....
-
Part-Time Security Officer
7 days ago
Detroit, Michigan, United States Rock Family of Companies Full timeThe Rock Family of Companies is made up of nearly 100 separate businesses spanning fintech, sports, entertainment, real estate, startups and more. We're united by our culture – a drive to find a better way that fuels our commitment to our clients, our community and our team members. We believe in and build inclusive workplaces, where every voice is heard...
-
education services specialist
4 weeks ago
Detroit, Michigan, United States Naval Education and Training Command Full timeSummary You will serve as a EDUCATION SERVICES SPECIALIST of NAV RECRUITING DISTRICT MICHIGAN. Responsibilities You will establish liaison with education officials and employment representatives to raise awareness of Navy occupational programs and to promote the Navy as a career option for the civilian community. You will facilitate recruiter access to high...
-
Detroit, Michigan, United States Gilead Sciences, Inc. Full timeFor Current Gilead Employees and Contractors:Please log onto your Internal Career Site $) to apply for this job.At Gilead, we're creating a healthier world for all people. For more than 35 years, we've tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access...
-
Biologist
6 days ago
Detroit, Michigan, United States U.S. Fish & Wildlife Service Full timeDutiesAs a Biologist your duties may include, but are not limited to, the following:Participates in the planning and execution of complex studies and assessments or independently plans, organizes and implements limited studies concerning biological, chemical, and physical processes that affect ecosystems. Reviews research and reports prepared by outside...
-
PD Claims Representative 3rd Party
7 days ago
Detroit, United States NJ CURE Full timeJob Summary A Third-Party Property Damage Claims Representative is responsible for the handling of Auto Physical Damage Claims in accordance with all relevant laws and regulations. Reporting to the Property Damage Liability Manager within the PD Department, this role exists in a fast-paced environment, with heavy phone work. The ideal candidate must be able...
-
Call Center Representative
2 weeks ago
Detroit, United States The One Agency Full timeJob Title: Call Center RepresentativeCompany: The One AgencyLocation: Detroit, MIAbout Us:At The One Agency , we understand the intricacies of tax laws and the importance of accurate financial planning. Our team is dedicated to providing personalized tax consultation services that cater to your unique needs, ensuring compliance while optimizing your...
-
Customer Service Representative II
7 days ago
Detroit, United States Kapstone Employment Services Full timeJob DescriptionJob DescriptionCustomer Service Representative IIThis position requires strong analytical, problem solving, multi-tasking, technical and customer service skills. We are looking for people who are strong analytically and have experience working in different systems such as SAP, CRM, etc...You will be responsible for accessing multiple internal...
-
Detroit, United States The Auto Club Group Full timeIts a great time to join AAA The Auto Club Group! JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time Exempt/Non Exempt: Hourly Job Description: Why Choose a Career with the AAA The Auto Club Group (ACG) Established brand that has been around for over 100 years. Our members know and trust us! Branch Offices house travel,...
-
Office Representative
6 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timePosition Overview Responsibilities Provide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Work with the agent to establish and meet marketing goals. Develop leads, schedule...
-
Office Representative
5 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewResponsibilitiesProvide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification.Work with the agent to establish and meet marketing goals.Develop...
-
Account Representative
5 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Account Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience. If you...
-
Customer Service Rep I
5 days ago
Detroit, United States Blue Cross Blue Shield of Michigan Full timeJob DescriptionCustomer Service Rep I Full-time Shift: 8:00 am to 5:00 pm (Shift bidding process based on seniority) Detroit, MIAnalyzes, evaluates, resolves and primarily responds to low complexity level membership issues under various product lines. Primarily conducts low complexity internal and external research to determine and request the data needed...
-
Legal Administrative Assistant
1 month ago
Detroit, United States Hutchinson Cannatella, P.C. Full timeJob DescriptionJob Description Wanted: Legal Administrative Assistant for busy Downtown Detroit law firm that represents Fortune 500 and insurance companies throughout the State of Michigan. Duties: provide advanced administrative support to multiple attorneys that specialize in Catastrophic Personal Injury and Property Damage Civil Defense cases. Tasks...
-
Insurance Account Position
5 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timeJob DescriptionJob DescriptionROLE DESCRIPTION:As for , you are vital to our daily business operations and customers success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.Grow your...
-
Commercial Insurance Account Manager MNN9488
2 weeks ago
Detroit, United States Capstone Search Group Full timeJob DescriptionJob DescriptionAbout the RoleAs a Commercial Insurance Account Manager with this Detroit based independent agency you’ll be responsible for stepping into a team that is experiencing terrific growth and needs a knowledgeable client professional to help take on new and existing clients. A family owned company where producers, executives, and...
-
Senior Project Manager
7 days ago
Detroit, United States PMA Consultants Careers Full timeJob DescriptionJob DescriptionPosition Summary This senior associate project manager role in the Detroit Metropolitan area may be involved in all phases of construction projects, including procurement documents, contract specifications, construction plans, review of construction documents, schedule control, cost control, and change orders. The prospective...
-
Account Manager
5 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewDo you have aspirations to run your own business? If so, you may want to consider working in the office of Angela Hughes - State Farm Agent. As a member of our agency team, you have an opportunity to experience first-hand what it takes to be a State Farm Agent. You will build and develop customer relationships...
-
Agent's Executive Assistant
5 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewDo you have aspirations to run your own business? If so, you may want to consider working in the office of Angela Hughes - State Farm Agent. As a member of our agency team, you have an opportunity to experience first-hand what it takes to be a State Farm Agent. You will build and develop customer relationships...
-
Agent's Executive Assistant
6 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timePosition Overview Do you have aspirations to run your own business? If so, you may want to consider working in the office of Angela Hughes - State Farm Agent. As a member of our agency team, you have an opportunity to experience first-hand what it takes to be a State Farm Agent. You will build and develop customer relationships within the community to...
-
Insurance and Financial Services Position
5 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Insurance and Financial Services Position - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer...
-
Health Care Analyst/Epidemiologist
6 days ago
Detroit, United States Advantasure, Inc. Full timeJob DescriptionResponsible for identifying, collecting, analyzing, and maintaining data to evaluate issues that support prospective business decisions. Coordinate projects for senior management. Research, analyze, identify, and evaluate data from assigned problems to evaluate existing and potential trends and issues. Possess and maintain a comprehensive...
-
Insurance Staff Position
5 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewState Farm Insurance Agent located in Detroit, MI is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Angela Hughes - State Farm Agent, you will build and develop customer relationships within the community to promote State Farm products including auto, home...
-
Staff Assistant
6 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Staff Assistant - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience. If you are a...
-
Bank Products Position
6 days ago
Detroit, United States Angela Hughes - State Farm Agent Full timeJob DescriptionJob DescriptionPosition OverviewSuccessful State Farm Agent is seeking a qualified professional to join their winning team for the role of Bank Products Position - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience. If you...